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DR. PAUL HERBERT BORNEMANN M.D.
NPI 1699945451
Family Medicine in West Columbia, SC

Active since March 08, 2008PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169(803) 739-3550(803) 739-3546 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2025, Aug 23, 2024, Jun 15, 2023 and 3 more (6 updates tracked since 2016).

About Dr. Paul Herbert Bornemann M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL HERBERT BORNEMANN M.D. (NPI 1699945451) is an individual family medicine provider in West Columbia, South Carolina, licensed in South Carolina (36684) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699945451
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL HERBERT BORNEMANNCredential: M.D.
Location Address145 SUNSET CT STE 100West Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 739-3550 · Fax (803) 739-3546
Phone(803) 739-3550
Fax(803) 739-3546
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2006
Enumeration DateMarch 8, 2008
Last NPPES UpdateMarch 12, 20256 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1699945451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 36684✔ Licensed in VA · 0101243142
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
145 SUNSET CT STE 100, West Columbia, SC 29169
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Secondary Practice Locations 2

Location 13209 Colonial DrColumbia, SC 29203-6930 · Phone (803) 434-6113 · Fax (803) 434-7231
Location 256 US Highway 321 Byp NWinnsboro, SC 29180-7100 · Phone (803) 635-6099 · Fax (803) 635-6343

Other Identifiers 1

Medicaid366847SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Herbert Bornemann M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830341494
PECOS Enrollment IDI20141106000947
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
385 services134 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
145 services63 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
103 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUVAL SAMWARU DO
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000
HOLLY OWENS MD
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
BRANDON AUSTIN MCCONNELL
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
JOSEPH GABRIEL PATRAUTANU MD
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TRIET LE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
DR. JOSEPH MICHAEL COONEY DO
Family Medicine
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
TREVOR DOANE
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 739-3550
ALEXANDER KHOA-NGUYEN GIEP
Student in an Organized Health Care Education/Training Program
145 SUNSET CT STE 100
WEST COLUMBIA, SC 29169
Lexington County (803) 000-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Bornemann's NPI number?

The NPI number for Paul Bornemann is 1699945451. It was assigned to this individual provider in the NPPES registry on March 8, 2008.

Where is Paul Bornemann located?

Paul Bornemann practices at 145 Sunset Ct Ste 100, West Columbia, SC 29169. The listed phone number is (803) 739-3550.

What is Paul Bornemann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Bornemann enrolled in Medicare?

Yes. Paul Bornemann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Bornemann accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Paul Bornemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Bornemann affiliated with any hospitals?

According to CMS data, Paul Bornemann is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Bornemann was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.